Boulton, Stacy

Boulton, Stacy is an individual health care provider with primary practice located at 6907 Burlington Pike , Florence KY 41042-1618. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Boulton, Stacy can be contacted via phone (859) 525-1846.

Contact Information

Primary practice address
6907 Burlington Pike Florence KY 41042-1618
Phone: (859) 525-1846
Fax: (859) 647-3355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 35084722 Ohio
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 35084722 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 40489 Kentucky

Profile Details

NPI number 1447216023
LBN Legal business name Boulton, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Nov 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447216023 NPPES
Ohio MEDICAID 2494840

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